Technology Enhanced Substance Use and HIV Service Navigation for Sexual and Gender Minority Young Adults Surveilled by the Carceral System
技术增强了监狱系统监控的性少数群体年轻人的药物使用和艾滋病毒服务导航
基本信息
- 批准号:10771060
- 负责人:
- 金额:$ 10万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-01 至 2025-07-31
- 项目状态:未结题
- 来源:
- 关键词:AIDS preventionAddressAdherenceAdministrative SupplementAdultAffectAwardAwarenessCharacteristicsClinical TrialsCommunity of PracticeComplexConsolidated Framework for Implementation ResearchContinuity of Patient CareEnhancement TechnologyFeedbackFocus GroupsFundingFutureGoalsHIVHIV SeropositivityHealthcareHeterosexualsImprisonmentImprove AccessIndividualInequityInterventionIntervention StudiesInterviewJailLeadLinkLiteratureMeasuresMental HealthModelingMovementOutcomeParentsParticipantPatient Self-ReportPersonsPopulationPrevention strategyPrisonsProcessPublishingResearchRiskServicesSexual HealthSexual and Gender MinoritiesStructureSubgroupSubstance Use DisorderSystemTechnologyTestingTimeTrustUnited StatesWorkacceptability and feasibilitybarrier to carebehavioral healthbehavioral health interventioncisgenderdisorder preventiondisparity reductioneHealtheffective interventionefficacy testingexperiencegender minoritygender minority grouphealth care availabilityhigh riskimplementation processimprovedinformantinnovationintervention deliverymeetingsminority stressminority stressormultidisciplinarypeerpilot testpre-exposure prophylaxisprevention servicepreventive interventionracismsatisfactionservice interventionsexual minoritysocialsocial stigmastudy populationsubstance usesubstance use treatmenttheoriestreatment servicesuptakeyoung adult
项目摘要
Project Summary/Abstract
There is a strong scientific premise for the study of integrated substance use disorders (SUDs) and HIV-
prevention interventions for individuals surveilled by the carceral system (CS). SUDs lead to increased rates of
CS involvement as well as increased risk for HIV-acquisition. Estimates of the proportion of the CS-involved
population with a SUD reach 72%, and ~150,000 persons with HIV pass through a detention facility annually.
Individuals with a self-reported sexual or gender minority (SGM) identity are overrepresented in the CS, and
experience well established HIV and substance use inequities. Although pre-exposure prophylaxis (PrEP) is a
proven effective intervention for HIV-prevention, its maximal impact depends on uptake, and adherence among
those at high risk. To date, few published studies have examined substance use treatment and HIV-prevention
uptake among CS-involved populations, including among SGM adults. Peer-led navigation interventions have
demonstrated efficacy in building trust and reducing barriers to healthcare engagement, and hold strong potential
to address multiple, and complex barriers to treatment and HIV-prevention linkage for SGMYA surveilled by the
CS. eHealth approaches to SUD and HIV prevention also hold promise because they improve access to effective
intervention services, particularly for SGM groups and younger people. As a multidisciplinary team with expertise
in behavioral health (substance use, mental health, HIV prevention), SGM and CS involved adults, and eHealth
enhanced and navigator-led behavioral health interventions, we propose to address notable gaps in the literature
by expanding the aims of our parent award to examine the feasibility and acceptability of an eHealth enhanced
navigator-led SUD and HIV-prevention referral and linkage intervention for SGMYA surveilled by the CS. Study
aims are to: 1) Tailor the content and structure of an eHealth technology-supported navigation intervention for
substance use treatment and HIV-prevention (PrEP) services to the unique needs of SGMYA (18 to 29 years)
surveilled by the CS; 2) Refine and test the tailored eHealth enhanced, navigator-led substance use treatment
and HIV prevention (PrEP) intervention for SGMYA surveilled by the CS, for appropriateness, satisfaction, and
fidelity. This administrative supplement appropriately expands the scope of the parent award and will directly
inform a future R01 clinical trial study to test the efficacy of the eHealth enhanced navigation intervention for
improving uptake of substance use treatment and HIV prevention services for SGMYA impacted by the CS.
项目概要/摘要
综合物质使用障碍 (SUD) 和 HIV 的研究有强有力的科学前提
对监狱系统(CS)监控的个人进行预防干预。 SUD 导致发生率增加
CS 的参与以及艾滋病毒感染风险的增加。涉及 CS 的比例估计
患有 SUD 的人口达到 72%,每年约有 150,000 名艾滋病毒感染者进入拘留设施。
自我报告的性或性别少数群体 (SGM) 身份的个人在 CS 中所占比例过高,并且
经历了既定的艾滋病毒和药物使用不平等。尽管暴露前预防(PrEP)是一种
经证明有效的艾滋病毒预防干预措施,其最大影响取决于人们的吸收和坚持
那些高风险的人。迄今为止,很少有已发表的研究探讨药物滥用治疗和艾滋病毒预防
CS 相关人群(包括 SGM 成年人)的吸收情况。同行主导的导航干预措施
在建立信任和减少医疗保健参与障碍方面表现出功效,并具有强大的潜力
解决由 SGMYA 监测的治疗和艾滋病毒预防联系中的多重复杂障碍
CS。 SUD 和艾滋病毒预防的电子卫生保健方法也有希望,因为它们可以改善获得有效治疗的机会
干预服务,特别是针对SGM团体和年轻人的干预服务。作为一个拥有专业知识的多学科团队
行为健康(药物使用、心理健康、艾滋病毒预防)、成人 SGM 和 CS 以及电子健康
增强和导航员主导的行为健康干预措施,我们建议解决文献中的显着差距
通过扩大我们家长奖的目标来检验电子医疗增强的可行性和可接受性
由导航员主导的 SUD 和 HIV 预防转诊以及由 CS 监督的 SGMYA 的联动干预。学习
目标是: 1) 定制电子卫生技术支持的导航干预的内容和结构
满足 SGMYA(18 至 29 岁)独特需求的药物滥用治疗和 HIV 预防 (PrEP) 服务
由CS监督; 2) 完善和测试定制的电子健康增强型、导航员主导的药物使用治疗
由 CS 监督的 SGMYA 的 HIV 预防 (PrEP) 干预措施的适当性、满意度和
保真度。此次行政补充适当扩大了家长奖励范围,将直接
为未来的 R01 临床试验研究提供信息,以测试电子医疗增强导航干预的功效
提高受 CS 影响的 SGMYA 药物滥用治疗和艾滋病毒预防服务的采用率。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Emily F Dauria其他文献
Toward Abolitionist Approaches in Medicine
迈向医学废奴主义方法
- DOI:
10.1001/amajethics.2022.167 - 发表时间:
2022 - 期刊:
- 影响因子:0
- 作者:
J. E. James;Emily F Dauria;Riya Desai;Adelaide Bell;Jacob M. Izenberg - 通讯作者:
Jacob M. Izenberg
Emily F Dauria的其他文献
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{{ truncateString('Emily F Dauria', 18)}}的其他基金
Technology Enhanced Substance Use and HIV Service Navigation for Justice-Involved Young Adults
技术增强了对参与正义的年轻人的药物使用和艾滋病毒服务导航
- 批准号:
10327137 - 财政年份:2022
- 资助金额:
$ 10万 - 项目类别:
kINSHIP: Peer navigators addressing INtersectional Stigma to improve HIV Prevention among criminal-justice involved women
亲属关系:同伴导航员解决跨部门耻辱问题,以改善涉及刑事司法的妇女的艾滋病毒预防
- 批准号:
10155458 - 财政年份:2020
- 资助金额:
$ 10万 - 项目类别:
Project kINSHIP: Peer navigators addressing INtersectional Stigma to improve HIV Prevention among criminal-justice involved women
亲属关系项目:同伴导航者解决跨部门耻辱问题,以改善涉及刑事司法的妇女的艾滋病毒预防
- 批准号:
10538195 - 财政年份:2020
- 资助金额:
$ 10万 - 项目类别:
kINSHIP: Peer navigators addressing INtersectional Stigma to improve HIV Prevention among criminal-justice involved women
亲属关系:同伴导航员解决跨部门耻辱问题,以改善涉及刑事司法的妇女的艾滋病毒预防
- 批准号:
10400408 - 财政年份:2020
- 资助金额:
$ 10万 - 项目类别:
kINSHIP: Peer navigators addressing INtersectional Stigma to improve HIV Prevention among criminal-justice involved women
亲属关系:同伴导航员解决跨部门耻辱问题,以改善涉及刑事司法的妇女的艾滋病毒预防
- 批准号:
9926752 - 财政年份:2020
- 资助金额:
$ 10万 - 项目类别:
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